Richard C Enck, MD

Individual provider Active NPI Obstetrics & Gynecology Physician · Laconia, NH

NPI 1730147729 · NPPES record last updated Sep 2, 2011

Key facts

NPI: 1730147729
Entity type: Individual (NPI type 1)
Primary specialty: Obstetrics & Gynecology Physician 207V00000X
License: 6629 (NH)
Practice address: 96 High Street
Laconia, NH 03246-3537
Phone: (603) 524-9197
Fax: (603) 524-9142
NPI assigned: May 2, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

LRG Healthcare Ambulatory Surgical Clinic/Center · Laconia, NH · NPI 1942388327

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Specialty	Status	New patients
LRG Healthcare		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Obstetrics & Gynecology Physician	207V00000X	6629	NH	Yes

Addresses

Primary practice location

96 High Street
Laconia, NH 03246-3537

Mailing address

PO Box 310
Laconia, NH 03247-0310
Phone (603) 524-3211

Other identifiers

Identifier	Type	State	Issuer
00000548	Medicaid	NH
0101205YON401	Other		ANTHEM

Other providers in Laconia, NH

All providers in Laconia, NH · Obstetrics & Gynecology Physician in New Hampshire

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.